CAJ | 학술논문

目的：观察疏肝利胆汤联合内镜治疗老年胆总管结石的临床疗效。方法对80例老年（＞60岁）胆总管结石患者内镜治疗，术后随机分为2组，对照组40例给予常规抗感染、抑酸和补液治疗；治疗组40例在对照组治疗基础上加疏肝利胆汤。检测2组患者术后第3、7 d直接胆红素、白细胞计数、丙氨酸氨基转移酶（ ALT）、C-反应蛋白及7 d平均胆汁引流量。结果80例患者全部内镜治疗成功，无严重并发症，无死亡病例；治疗组术后第3 d直接胆红素、白细胞计数、ALT及C-反应蛋白下降幅度均显著优于对照组（ P＜0．05）；治疗组术后第7 d直接胆红素较对照组同期下降（P＜0．05），7 d平均胆汁引流量多于对照组（P＜0．05）。结论内镜治疗老年胆总管结石安全、高效，联合疏肝利胆汤可以使患者恢复更快。
목적：관찰소간리담탕연합내경치료노년담총관결석적림상료효。방법대80례노년（＞60세）담총관결석환자내경치료，술후수궤분위2조，대조조40례급여상규항감염、억산화보액치료；치료조40례재대조조치료기출상가소간리담탕。검측2조환자술후제3、7 d직접담홍소、백세포계수、병안산안기전이매（ ALT）、C-반응단백급7 d평균담즙인류량。결과80례환자전부내경치료성공，무엄중병발증，무사망병례；치료조술후제3 d직접담홍소、백세포계수、ALT급C-반응단백하강폭도균현저우우대조조（ P＜0．05）；치료조술후제7 d직접담홍소교대조조동기하강（P＜0．05），7 d평균담즙인류량다우대조조（P＜0．05）。결론내경치료노년담총관결석안전、고효，연합소간리담탕가이사환자회복경쾌。
Objective To observe the effect of endoscopic treatment combined with Shuganlidan decoction on elderly patients with common bile duct stones .Methods 80 elderly patients with common bile duct stones which received therapeutic endoscopy were randomly divided into two groups postoperation .40 cases in control group re-ceived conventional antibiotics ,acid suppression and rehydration therapy .40 cases in treatment group received Shu-ganlidan decoction on the basis of control group treatment .Direct bilirubin ,white blood cell count ,alanine aminotrans-ferase(ALT),C-reactive protein,bile drainage was detected after the first 3,7 day of operation.Results All 80 patients’ endoscopic treatment was success;there were no serious complications and no deaths .Decline of Direct bili-rubin,white blood cell count ,ALT,C-reactive protein in treatment group was superior to that in control group after first 3 day of operation(P<0.05).Volume of bile drainage in treatment group was more than that in control group (P<0.05).Conclusion Endoscopic treatment combined with Shuganlidan decoction has safety and high effective , and can short hospital stay on elderly patients with common bile duct stones .